A Case of Polyarteritis Nodosa Presenting as Rapidly Progressing Intermittent Claudication of Right Leg
المؤلفون المشاركون
Fonseka, C. L.
Abeyaratne, D. D. K.
Galappaththi, Sampath Rukshani
Tissera, Nirmali
Wijayaratne, Lalith
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-10-04
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Background.
Polyarteritis nodosa (PAN) is a medium vessel vasculitis which causes significant morbidity and mortality.
Usually, it presents with constitutional symptoms with angiographic evidence of aneurysms or segmental stenosis of arteries of mesenteric or renal vasculature.
It is exceedingly uncommon for PAN to present with symptomatic progressive intermittent claudication.
Case Presentation.
We describe a 60-year-old male who presented with rapidly progressive intermittent claudication of his right leg.
He did not have any significant atherosclerotic risk factors.
He had recent onset hypertension and loss of weight.
He also had mononeuropathy of right common peroneal nerve and livedo reticularis rash.
With negative autoimmune markers and suggestive histology in deep punch skin biopsy and angiographic evidence of segmental stenosis of femoral and renal arteries, we diagnosed PAN.
We treated him with aggressive immunosuppressants and vascular bypass surgery of right femoral vessels; he showed a good response.
Conclusion.
Rapidly progressive unilateral intermittent claudication could be a very rare, but noteworthy presentation of PAN.
With suggestive histology and exclusion of other comorbidities aggressive immunosuppressants should be instituted.
Vascular bypass surgery for critical ischaemia of the limbs is an option that could be considered for limb-threatening disease.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Fonseka, C. L.& Galappaththi, Sampath Rukshani& Abeyaratne, D. D. K.& Tissera, Nirmali& Wijayaratne, Lalith. 2017. A Case of Polyarteritis Nodosa Presenting as Rapidly Progressing Intermittent Claudication of Right Leg. Case Reports in Medicine،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1146717
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Fonseka, C. L.…[et al.]. A Case of Polyarteritis Nodosa Presenting as Rapidly Progressing Intermittent Claudication of Right Leg. Case Reports in Medicine No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1146717
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Fonseka, C. L.& Galappaththi, Sampath Rukshani& Abeyaratne, D. D. K.& Tissera, Nirmali& Wijayaratne, Lalith. A Case of Polyarteritis Nodosa Presenting as Rapidly Progressing Intermittent Claudication of Right Leg. Case Reports in Medicine. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1146717
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1146717
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر